[Refinements in the labia minor reduction procedures].
OBJECTIVE
The aim of this study is to appreciate the hypertrophy of labia minor, its psychological and functional effects and the different techniques of reduction available.


METHODS
From August 2004 to June 2007, 14 patients have been operated with a posterior wedge resection technique associated with a Z plasty. A questionnaire has been sent to each patient in order to make a retrospective study of the different reasons of consultation and their degree of satisfaction after surgery.


RESULTS
Among the 12 patients who answered the questionnaire, main part of them was satisfied or very satisfied of the morphologic and functional results. All of them were satisfied to have decided on this surgery.


CONCLUSIONS
We can notice an increase of the requests concerning the vulvar morphologic changing, either due to aesthetics preoccupations or functional disorders. Technically, the wedge resection brings the most satisfactory results. The addition of a Z plasty and the posterior location of the scar should prevent dyspareunia and per-partum tears.


CONCLUSIONS
This preliminary clinical study focuses on the different techniques, enables a better knowledge of these women expectations and confirms our technique.
Heusse
J-L
JL
Service de chirurgie plastique et reconstructrice, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France. jlheusse@yahoo.fr
Cousin-Verhoest
S
S
Aillet
S
S
Watier
E
E
D004954:Esthetics; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000601:surgery; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014844:Vulva / Q000473:pathology* / Q000601:surgery*